This is such an excellent piece describing one of the most complex, terrifying and isolating symptoms that lots of people suffering from mental illness battle with. It’s incredibly difficult to understand as the person experiencing it, and even more so for everyone else – even experienced mental health professionals who are doing their best to try to help. (Although, I must say that I am blessed with a care coordinator who is absolutely an exception to this rule)
I’m printing this out as we speak to show my care team!
This is a topic that I have wanted to write about for a while, as well as receiving requests from followers to explore it after brief references to the concept in other posts. It’s also highly relevant at the moment as I continue to question whether I still slip into apparent competence, rather than genuinely being a competent person. As per the usual format of this blog, I will apply this reflection to the effect of apparent competence on engagement in occupation and performance capacity.
Firstly, some definitions and explanations. Apparent competence is a common ‘trait’ for some individuals who have Borderline Personality Disorder (BPD) and is thought of as the opposing dialectic to ‘active passivity’. Linehan (1993a) provides an excellent explanation of the concept in ‘Cognitive Behavioural Treatment of Borderline Personality Disorder’. (Other dialectics are explored in ‘Skills Training Manual for Treating Borderline Personality Disorder’, I’d recommend reading both.)…
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